Paul Saladino, MD engagement report
@paulsaladinomd - 489K followers on X
Measured over 23 original posts from a 30-day window, last computed on October 22, 2026.
Engagement
A typical post picks up 826 interactions against 489K followers, an engagement rate of 0.169%. Measured over 23 original posts, its engagement rate beats 79% of 20,444 tracked accounts of a similar size. Comparing inside a size band matters here: engagement rate falls as accounts grow, so a raw rate would mostly just re-measure the follower count. Posts are seen about 62K times each, and 1.34% of those impressions turn into an interaction. That is about 12.7% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.7 posts a day over the last 30 days, with activity on roughly 70% of days. Most posts go out around 12:00 UTC, and Tuesday is the busiest day of the week. Of the 23 posts sampled, 70% carry an image or video and 30% are part of a thread. The account's strongest tracked post pulled 45K interactions, about 55x its own typical post.
Measured over 23 original posts from a 30-day window, last computed on October 22, 2026.
Compared with accounts its own size
Paul Saladino, MD's engagement rate beats 79% of the tracked X accounts closest to it in follower count (20,444 accounts, accounts of similar size (decile 10 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.
On engagement per impression rather than per follower it beats 55% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.
Where this sits in the catalog
At 0.169%, Paul Saladino, MD sits above the 50th percentile of the 204,694 accounts in this comparison. That places it in the above the median band, which runs 0.143% to 0.677%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.024% |
| 50th percentile | 0.143% |
| 75th percentile | 0.677% |
| 90th percentile | 2.55% |
| 99th percentile | 82.4% |
This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built
Posting timing
This account posts most often around 12:00 UTC, and Tuesday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 70% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 4% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | +15% | +14% to +16% | 32K |
- 70% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 4% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts.
- Its average post runs 392 characters, which falls in the over 280 characters band. Across the catalog, posts over 280 characters run 15% above the same accounts' other posts.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Sep 5, 202655x their median
Miami from space (2012 vs 2025) The replacement of warm, orange sodium lights with cold, white LEDs is one of the greatest crimes against humanity of our time. https://t.co/JHWKS2N9mk
- Sep 26, 202636x their median
$1,000 for boots sounds crazy until you see the craftsmanship. Zero shortcuts. Built to last 20 years. https://t.co/qRZUtWrCLK
- Aug 22, 202635x their median
I feel like it’s finally safe to say this out loud: The COVID era was a time of staggering overreach and repeated, official betrayal. They took our freedom, our livelihoods, and our trust, and no one has answered for it. We were forced into isolation, fueling a massive psychological crisis. Beaches, parks, and trails where transmission was virtually impossible were closed, ignoring the crucial role of sunlight and Vitamin D for immune function. The government and employers forced vaccine mandates, making millions choose between a medical treatment lacking long-term safety data and their ability to feed their families. Meanwhile, pharmaceutical companies were granted total immunity from liability. If you had a severe vaccine reaction, you were on your own. When people tried to share these stories of big tech silenced them and deleted their accounts. The architects of these policies, like Dr. Fauci, shifted goalposts constantly. He received a preemptive presidential pardon from Joe Biden, and when recently questioned by Congress, pleaded the Fifth Amendment 111 times. The biggest failure? We knew early on that metabolic dysfunction was a massive risk factor for severe COVID. Yet public health officials stayed completely silent on the importance of quality food, exercise, and true metabolic resilience. Instagram deleted my account in 2021 for pointing all of these things out. YouTube deleted multiple videos on these topics. We all lost something during those years. Whether it was someone you loved, your job, your sovereignty, or your health... I am truly sorry for your loss. If all of this makes you angry, you’re my kind of people. Let's make sure this never happens again.
- Aug 21, 202614x their median
Dear Costco, many of us don’t want to eat a chicken that’s been sitting in a hot plastic bag all day. If we can afford to buy your $80 packs of steaks, we can afford to pay 20 cents more for a chicken in a cardboard box. https://t.co/4MP83Dh0rg
- Aug 26, 20268.4x their median
For the next 90 days… check your labels. Buy beef marked "Product of USA." 300,000 tons of tariff-free beef is incoming, and nobody will say where it's actually from (best guess is Argentina, not confirmed). Since there's no name on the label, that means no one has to answer for how it was raised or how fast. Why does this matter? The timeline. Ask any real producer what "cheap and fast" means: •Hormones for speed growth •Antibiotics for rushed, crowded conditions •Corn-fed instead of pasture Processed at scale, one pound of "ground beef" can come from a dozen+ cows blended together. None of it traceable. Not hypothetical. A batch already hit US retail in TX and FL last month before completing safety reinspection, meaning it reached shelves without finishing the safety check. Not to mention: China rejected an Argentine shipment for a banned antibiotic, chloramphenicol, as recently as March 2026. Under new 2026 USDA rules, "Product of USA" legally means born, raised, slaughtered, AND processed on American soil. This is the only label that guarantees those standards. Buying American is also how you support American ranchers getting undercut by these imports. Zooming out… this is the real state of beef in America right now: •Untraceable imported meat from unknown conditions •Lab-grown meat, already FDA-cleared, landing on shelves •Domestic ranchers doing it right and getting squeezed from every direction This is what a food system optimizing for cheap and fast over real and transparent looks like. For the next 90 days, and beyond, find a local rancher and buy directly. Vote with your dollars. That's how you actually know what's in your beef, and how you ensure the ranchers and butchers doing this right stay in business.
- Aug 13, 20266.8x their median
Perfumes are poisoning you… https://t.co/r8L0z9ch6p
- Oct 3, 20265.3x their median
age: 49. what am I on? https://t.co/CTmM5MML51
- Jul 25, 20264.5x their median
Most doctors won’t tell you this… https://t.co/DTL8o2vmxu
- Sep 19, 20264.2x their median
Men’s Hygiene Restock. https://t.co/qqvlSe1VpV
- Aug 20, 20264.0x their median
lettuce... now blueberries. frozen blueberries and frozen mixed berries from GreenWise Organics found to be contaminated with e.coli 0145:H28, a shiga-toxin producing form of this bacteria. berries were distributed to Publix stores in AL, FL, GA, KT, NC, SC, TN, and VA. Publix has apparently recalled all lots of these but be aware if you buy these berries from Publix, especially in these states. there is no amount of washing that removes this e.coli to a safe level, the berries would have to be boiled. this form of e.coli is a nasty one. the shiga toxin and other toxins can damage the lining of the intestines and blood vessels. most people recover from this infection without issues, but 5-10% develop hemolytic-uremic syndrome. bad news for the kidneys. notably, antibiotics are not recommended for this one. if you bought this berries, i'd throw them out for now but other blueberries should be ok! hope this helps those who are concerned about this... go eat some steak and bananas instead.
Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.
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Reading these numbers
A typical post picks up 826 interactions against 489K followers, an engagement rate of 0.169%. Measured over 23 original posts, its engagement rate beats 79% of 20,444 tracked accounts of a similar size. Comparing inside a size band matters here: engagement rate falls as accounts grow, so a raw rate would mostly just re-measure the follower count. Posts are seen about 62K times each, and 1.34% of those impressions turn into an interaction. That is about 12.7% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.7 posts a day over the last 30 days, with activity on roughly 70% of days. Most posts go out around 12:00 UTC, and Tuesday is the busiest day of the week. Of the 23 posts sampled, 70% carry an image or video and 30% are part of a thread. The account's strongest tracked post pulled 45K interactions, about 55x its own typical post.
- What is Paul Saladino, MD's engagement rate on X?
- Paul Saladino, MD (@paulsaladinomd) has an engagement rate of 0.169%, based on the median interactions across 23 original posts from the last 30 days against 488,539 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.169%, Paul Saladino, MD sits above the 50th percentile of the 204,694 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
- Does @paulsaladinomd have real engagement?
- Its engagement rate beats 79% of the tracked X accounts closest to it in follower count (20,444 accounts), which puts it in the top quarter for its size group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
- When does @paulsaladinomd post?
- Most posts go out around 12:00 UTC, and Tuesday is its busiest day, at roughly 1.7 posts per day across the measured window.